Individual provider Active NPI

Cherie Ann Ryan, M.A.

  • Speech-Language Pathologist
  • Fort Apache, AZ
National Provider Identifier
1942495395
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SLPL0824 Issued in AZ
Practice address
2005 Fort Apache Road
Fort Apache, AZ 85926-0001
Phone
(928) 338-1353
Fax
(928) 338-6037
NPI assigned
Sep 10, 2007
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPL0824 AZ Primary

Addresses

Primary practice location

2005 Fort Apache Road
Fort Apache, AZ 85926-0001

Mailing address

959 South Chief Avenue
Whiteriver, AZ 85941-0001
Phone (928) 338-2024

Other identifiers 1

IdentifierTypeStateIssuer
557829MedicaidAZ

Other names 1

  • Mrs. Cheryl Ann Ryan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLPL0824AZMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1942495395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 SOUTH CHIEF AVENUE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859410001",
            "telephone_number": "928-338-2024",
            "fax_number": "928-338-6037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 FORT APACHE ROAD",
            "city": "FORT APACHE",
            "state": "AZ",
            "postal_code": "859260001",
            "telephone_number": "928-338-1353",
            "fax_number": "928-338-6037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "CHERIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL0824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "557829",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "RYAN",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "M.A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Apache, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.